Organization
KNOXVILLE DERMATOLOGY GROUP PC
Active
Organization
KNOXVILLE DERMATOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L SHUPP MD (PRESIDENT)
(865) 690-9467
Entity
Organization
Contact information
Practice address
1928 ALCOA HWY, SUITE 209, KNOXVILLE, TN 37920-1502
(865) 546-7521
(865) 342-5857
Mailing address
200 FORT SANDERS WEST BLVD, SUITE 102, KNOXVILLE, TN 37922-3357
(865) 690-9467
(865) 342-5857
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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